ANTHONY WAYNE JOHNSON (MD) – Family Medicine Physician, NPI 1104186246

ANTHONY WAYNE JOHNSON (MD) is a healthcare provider. based in Valdosta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 005433 (GA). The NPI Number for ANTHONY WAYNE JOHNSON (MD) is 1104186246

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY WAYNE JOHNSON (MD)
NPI
1104186246
Phone
(229) 242-8480
Address
3207 COUNTRY CLUB RD
Enumeration Date
23 May 2012
Last Update Date
23 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292428480
Graduation Year
2012 (14 years ago)
PAC ID
4880850692
Group Practice PAC ID
4082036843
Professional Enrollment ID
I20151102000983
Address ID
GA316051029VA3207XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for ANTHONY WAYNE JOHNSON (MD)

  • 3207 COUNTRY CLUB RD

    VALDOSTA, GA 316051029

    Phone: (229) 242-8480

    Fax: (229) 242-0070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,694.

Total Amount is formed as General ($1,694) + Research ($0) + Ownership ($0) = $1,694.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($379).

Total Amount

$1,694

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,694

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151102000983IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes787189$0
36415Insertion of needle into vein for collection of blood sample731189$0
99213Established patient office or other outpatient visit, 20-29 minutes191113$0
87804Detection test by immunoassay with direct visual observation for influenza virus9237$0
81003Automated urinalysis test8868$0
View full utilization report →

Insurance plans in this area (ZIP 31605)

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Provider's Procedures

ANTHONY WAYNE JOHNSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2120
FAMILY MEDICINEGA81002Urinalysis, manual test12083

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082036843View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Nurse PractitionerGA
Orthopedic SurgeryGA
N E U R O L O G YGA
General Surgery, Vascular SurgeryGA
Pulmonary Disease, Sleep MedicineWI
N E U R O S U R G E R YCA
Family PracticeGA

Reviews

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Frequently asked questions

What is the standard ID for ANTHONY WAYNE JOHNSON (MD) in the U.S.?
In the U.S., ANTHONY WAYNE JOHNSON (MD) is identified by NPI 1104186246.
Does the public listing show ANTHONY WAYNE JOHNSON (MD) as active?
ANTHONY WAYNE JOHNSON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret ANTHONY WAYNE JOHNSON (MD)'s specialty?
The extract shows Family Medicine Physician for ANTHONY WAYNE JOHNSON (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to ANTHONY WAYNE JOHNSON (MD)?
ANTHONY WAYNE JOHNSON (MD) shows a connection to Valdosta, Georgia in registry-derived data.
Can I export ANTHONY WAYNE JOHNSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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